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General NPI Number Information
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NPI Number | 1184479214
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Entity Type | Organization
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Legal Business Name | CENTERPORT FIRE DISTRICT
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 9 PARK CIR
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City | CENTERPORT
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State | NY
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Zip | 11721-1630
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Country | US
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Telephone | 631-261-5936
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PARK CIR
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City | CENTERPORT
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State | NY
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Zip | 11721-1630
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Country | US
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Telephone | 631-261-5936
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | LISA JABLONOWSKI
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Credential |
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Telephone | 631-261-5936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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